Other Medicine and Health Sciences Commons^™

Paradigm Shift: Why The Need?, Dennis M. Richards

Dennis M Richards

The projected costs of trends expected to occur in Australian society over the next 40 years, particularly demographic changes, have the potential to threaten the fiscal sustainability of Australian Government finances. These costs particularly relate to the financing of health care. The Strategic Plan of the Chiropractors’ Association of Australian (National) Ltd. includes two strategies that seek to address this situation. This paper details these trends and threats, why new models of health care will be required, and why a paradigm shift in thinking in health care may be needed.

Paradigm Shift - The Two Models., Dennis M. Richards

Dennis M Richards

The projected costs of trends expected to occur in Australian society over the next 40 years, particularly demographic changes, have the potential to threaten the fiscal sustainability of Australian Government finances. These costs particularly relate to the financing of health care, and the Government has called for new models of care to address this problem. This paper presents and discusses some historical models or paradigms of health care that may assist in understanding the current need for change and a possible solution.

The Plan: The Development Of The 2006-2009 Caa Strategic Plan., Dennis M. Richards

Dennis M Richards

In 2006 the Chiropractors’ Association of Australia engaged a professional facilitator to develop and run a process by which a Strategic Plan could be developed to guide the activities of the Board of Directors of the Association during the period 2006-2009. This paper documents this process and lists the outcomes.

American Shamans: Journeys With Traditional Healers, Jack G. Montgomery Jr.

DLTS Faculty and Staff Book Gallery

Magical healings, ghostly encounters, and alternate realities have been a part of American society since the first colonial settlements. Author Jack Montgomery provides ample historical and personal material to reveal a largely hidden world, primarily influenced by African, Celtic and German roots, that still exists today. It is a spiritual journey into the depths of American folk religion, shamanism and applied mysticism that spans over three decades of research.

Agents Of Change: The Caa Consensus Process., Dennis M. Richards

Dennis M Richards

In 1997 the Chiropractors’ Association of Australia engaged a professional facilitator to develop and run a series of consensus conferences around the country. The purpose of these was to engage CAA members in set, organised procedures that ultimately produced Core Values of chiropractic, Core Purposes of the CAA and a Vision Statement to guide the organisation in its future strategic planning and activities. This paper documents those consensus activities, lists the outcomes and notes proposed efforts to review them.

Feline Lentivirus: Molecular Analysis And Epidemiology In Southern African Lions, Hayley Rebecca Adams

Doctoral Dissertations

Feline immunodeficiency virus is a retrovirus of domestic cats causing significant lifelong infection. Infection has also been detected in nondomestic species, including African lions. It is endemic in certain populations in east and southern Africa. Infection leads to immunologic dysfunction and immunosuppressive disease in domestic cats; however, little research exists about the pathogenic effects of infection in lions and its epidemiological impact on free-ranging and captive populations. Little is known about the lentivirus in these populations at the molecular and host level. Analysis of the virus from these populations is necessary for development of detection assays that are both sensitive …

Mission To Nicaragua, Loma Linda University

Scope

In this issue . . .

2 | Dr. Lyn Behrens announces plans to retire
LLUAHSC president announces retirement after serving the institution for 17 years

6 | What in the world is AHI?
Adventist Health International celebrates 10 years of service

12 | Mission to Nicaragua
Sixty-eight volunteers staff seven dental clinics in Nicaragua

16 | Consumed by eating disorders
Two individuals who struggle with anorexia are recovering today

20 | The Pettis papers dedication
LLUAHSC honors two individuals who chose to live extraordinary lives

26 | Comments by the Honorable Shirley Pettis-Roberson

28 | Comments by former First …

Practice Notes: Strategies In Health Education Program, “Full Service”: Talking About Fighting Prostate Cancer—In The Barber Shop!, Lisa D. Lieberman, Mario C. Browne, Barbara Hager

Department of Public Health Scholarship and Creative Works

The purpose of this project is to promote prostate cancer screening, education about disease risk and the importance of early detection, and survivorship among African American males who frequent African American–owned barber shops.

A Bold Plan, A Bright Future, Loma Linda University

Scope

In this issue...

2 | Commencement 2007
Loma Linda University graduates 1,203 during commencement ceremonies in its 102nd year

8 | Leveling the playing field
East Campus Hospital unveils its latest efforts to create a healing environment by opening a park with no boundaries

12 | Loma Linda 360° debuts
LLUAHSC launches new broadcast to share stories of outreach, adventure, and service

14 | Patients benefit from robotic surgery
Loma Linda surgeons use robotic surgery equipment to reduce the impact of surgery

17 | A bold plan, a bright future
The CEO and administrator of Loma Linda University Medical Center …

The Physiological Consequences Of Bed Rest, Kristin J. Stuempfle, Daniel G. Drury

Health Sciences Faculty Publications

Bed rest often is used to treat a wide variety of medical conditions. However, bed rest results in profound deconditioning of the body. Bed rest reduces the hydrostatic pressure gradient within the cardiovascular system, reduces muscle force production, virtually eliminates compression on the bones, and lowers total energy expenditure. This review focuses on the deconditioning that occurs in the cardiovascular, muscular, and skeletal systems following bed rest. Reduction in plasma volume reduces cardiac preload, stroke volume, cardiac output, and ultimately, maximal oxygen consumption. Skeletal muscle volume, muscle cross sectional area, and fiber cross sectional area decrease, which results in diminished …

Commencement Program 2007, Loma Linda University

Commencement Programs

CONTENTS

2 | 2006 Events of Commencement

3 | The Academic Procession

4 | Significance of Academic Regalia

5 | The Good Samaritan

6 | The Speakers

13 | The University Honorees

21 | The School Honorees

33 | The Program

• School of Medicine, 34
• School of Pharmacy, 45
• School of Dentistry, 50
• School of Science and Technology and School of Religion, 60
• School of Nursing, 68
• School of Allied Health Professions - Physical Therapy, 75
• School of Allied Health Professions, 82
• School of Public Health, 91

Forty Years Of Transplantation At Loma Linda, Loma Linda University

Scope

In this issue . . .

2 | Transplantation at Loma Linda
It’s been 40 years since the first kidney transplant at Loma Linda

7 | Remembering Baby Fae
Leonard L. Bailey, MD, tells the story of Baby Fae

12 | Everyday heroes
The pediatric trauma team exists to save young lives

16 | Same family, different sides
Circumstances put classmates on opposite sides of a grim 1943 battle

20 | Telehealth: miles away but face to face
Health care professionals and educators use telehealth technologies to serve outlying communities

24 | Newscope
News about Loma Linda...

Exercise Adherence: Motivational Factors Influencing Exercise Adherence And Fitness Level, Justin Recklau

Undergraduate Theses and Capstone Projects

There are many factors that influence adherence to an exercise program. This research study aimed to determine which factors most effectively ensured adherence, with the hypothesis that no single factor was indicative of exercise adherence as adherence is a dynamic item. The results target exercise professionals to assist them in retaining clientele and encouraging clientele to adhere to exercise programs. A survey was implemented that had clients self-report their stage in the transtheoretical model as well as how strongly they felt about five positive factors to exercise as well as five barriers to exercise. In addition to surveys, body composition, …

A Two-Hour Basketball Practice Increases Landing Error Scoring System Scores In Female Collegiate Basketball Players, Caroline Wesley

Undergraduate Theses and Capstone Projects

The high rate of knee injuries in women’s athletics has been well documented in recent years. There are multiple factors which contribute to the increased risk of injury in female athletes, including biomechanics when landing. Fatigue has also been examined as a contributing factor to injury, but few studies have utilized actual sport participation as a fatiguing protocol. No study has used the Landing Error Scoring System (LESS) to examine the changes that may result from fatigue. The objective of our study was to use the LESS to examine the effects of a two-hour basketball practice on the landing biomechanics …

Downstream Pathway Activation In Cultured Hepatocytes Following Treatment With Francisella Tularensis, Nicole Wakefield

Undergraduate Theses and Capstone Projects

Francisella tularensis, the intracellular pathogen that causes tularemia, was investigated to determine how it infects and replicates within mammalian hepatocytes. To date, it has been shown that hepatocytes can be infected by F. tularensis and that this causes considerable change in the protein phosphorylation state of several vital signaling molecules within the host cell. Protein kinase pathways can be mapped as signatures of infection. Hepatocytes tend to be susceptible to infection by F. tularensis, thus stimulating internal signaling. The Francisella strains used were selected with the goal of producing a model that can be used to elucidate the cell signaling …

Preventing And Treating Type 2 Diabetes Through A Physically Active Lifestyle, Raymond W. Leung, Jim Kamla, Man-Cheong Lee, Jennifer Y. Mak

Management Faculty Research

By the late 1960s, the increasing number of type 2 diabetic cases in children and adolescents rapidly presented a signifi cant public health issue recognized by the American Diabetes Association (2000). Since then, the prevalence of pediatric type 2 diabetes appears to be on the rise not only in the United States but all around the world (Gungor et al., 2005). In the United States, an increase from fewer than four percent to more than 50 percent of new cases of type 2 diabetes in the pediatric population was reported between the years of 1982 and 1998 (American Diabetes Association, …

Thank God For Aging, Charles D. Dolph

Psychology Faculty Publications

No abstract provided.

Perceived Racial Discrimination And Nonadherence To Screening Mammography, Amy B. Dailey, Stanislav V. Kasl, Theodore R. Holford, Beth A. Jones

Health Sciences Faculty Publications

Objective. We examined whether African American women were as likely as White women to receive the results of a recent mammogram and to self-report results that matched the mammography radiology report (i.e., were adequately communicated). We also sought to determine whether the adequacy of communication was the same for normal and abnormal results. Methods. From a prospective cohort study of mammography screening, we compared self-reported mammogram results, which were collected by telephone interview, to results listed in the radiology record of 411 African American and 734 White women who underwent screening in 5 hospital-based facilities in Connecticut between October 1996 …

Adequacy Of Communicating Results From Screening Mammograms To African American And White Women, Beth Jones, Kam Reams, Lisa Calvocoressi, Amy B. Dailey, Stanislav V. Kasl, Nancy M. Liston

Health Sciences Faculty Publications

Objective. We examined whether African American women were as likely as White women to receive the results of a recent mammogram and to self-report results that matched the mammography radiology report (i.e., were adequately communicated). We also sought to determine whether the adequacy of communication was the same for normal and abnormal results.

Methods. From a prospective cohort study of mammography screening, we compared self-reported mammogram results, which were collected by telephone interview, to results listed in the radiology record of 411 African American and 734 White women who underwent screening in 5 hospital-based facilities in Connecticut between October 1996 …

Tgfβ3 Inhibits E-Cadherin Gene Expression In Palate Medial-Edge Epithelial Cells Through A Smad2-Smad4- Lef1 Transcription Complex, Ali Nawshad, Damian Medici, Chang-Chih Liu, Elizabeth D. Hay

College of Dentistry: Faculty Publications

Dissociation of medial-edge epithelium (MEE) during palate development is essential for mediating correct craniofacial morphogenesis. This phenomenon is initiated by TGFβ3 upon adherence of opposing palatal shelves, because loss of E-cadherin causes the MEE seam to break into small epithelial islands. To investigate the molecular mechanisms that cause this E-cadherin loss, we isolated and cultured murine embryonic primary MEE cells from adhered or non-adhered palates. Here, we provide the first evidence that lymphoid enhancer factor 1 (LEF1), when functionally activated by phosphorylated Smad2 (Smad2- P) and Smad4 (rather than β-catenin), binds with the promoter of the E-cadherin gene to repress …

Ponderal Somatograms Assess Changes In Anthropometric Measurements Over An Academic Year In Division Iii Collegiate Football Players, Kristin J. Stuempfle, Daniel G. Drury, David F. Petrie, Frank I. Katch

Health Sciences Faculty Publications

Ponderal somatograms evaluate body size and shape by converting muscular (shoulders, chest, biceps, forearm, thigh, calf) and nonmuscular (abdomen, hips, knee, ankle, wrist) girths into ponderal equivalent (PE) values. Anthropometric measurements, including stature, body mass, girths, and percent body fat by densitometry were collected in 54 Division III football players in preseason camp (fall) and at the beginning (winter) and end (spring) of the team strength and conditioning program. PE values were calculated for each girth as PE, kg = (girth, cm / k) squared x stature, dm, where k = k constant from Behnke's reference man. PE values were …

Reducing Liver Cancer Disparities: A Community-Based Hepatitis-B Prevention Program For Asian-American Communities, Chiehwen E. Hsu, Louis Chih-Hung Liu, Hee-Soon Juon, Yu-Wen Chiu

Journal Articles

OBJECTIVES: Several Asian-American groups are at a higher risk of dying of liver diseases attributable to hepatitis-B infection. This culturally diverse community should be well informed of and protected against liver diseases. The present study assesses the knowledge of hepatitis B before and after a hepatitis-B educational program and determines the infection status of an Asian community.

METHODS: Nine Asian communities of Montgomery County, MD, enrolled in the hepatitis-B prevention program between 2005 and 2006. They attended culturally tailored lectures on prevention, completed self-administered pre- and posttests, and received blood screening for the disease.

RESULTS: More than 800 Asian Americans …

A Spatial-Temporal Approach To Surveillance Of Prostate Cancer Disparities In Population Subgroups, Chiehwen E. Hsu, Francisco Soto Mas, Jerry A. Miller, Ella T. Nkhoma

Journal Articles

BACKGROUND: Prostate cancer mortality disparities exist among racial/ethnic groups in the United States, yet few studies have explored the spatiotemporal trend of the disease burden. To better understand mortality disparities by geographic regions over time, the present study analyzed the geographic variations of prostate cancer mortality by three Texas racial/ethnic groups over a 22-year period.

METHODS: The Spatial Scan Statistic developed by Kulldorff et al was used. Excess mortality was detected using scan windows of 50% and 90% of the study period and a spatial cluster size of 50% of the population at risk. Time trend was analyzed to examine …

Thank God For Aging, Charles D. Dolph

Charles D. Dolph, Ph.D.

No abstract provided.

Centennial And Other Memories, Loma Linda University

Scope

Table of contents

3 | The other curriculum
Chancellor Richard Hart challenges 2006 graduates

7 | Centennial memories
A look back at two years of centennial events

15 | No fear
Members of Team PossAbilities defy physical limits

19 | For smiles
LLU and AHI partner with Smile Train

22 | Newscope

31 | Alumni notes

Inside Unlv, Diane Russell, Shane Bevell, David Ashley, Cate Weeks, Jennifer Lawson

Inside UNLV

No abstract provided.

Girls' Perception Of Physical Environmental Factors And Transportation: Reliability And Association With Physical Activity And Active Transport To School, Kelly R. Evenson, Amanda Birnbaum, Ariane L. Bedimo-Rung, James Sallis, Carolyn C. Voorhees, Kimberly Ring, John P. Elder

Department of Public Health Scholarship and Creative Works

Background

Preliminary evidence suggests that the physical environment and transportation are associated with youth physical activity levels. Only a few studies have examined the association of physical environmental factors on walking and bicycling to school. Therefore, the purpose of this study was (1) to examine the test-retest reliability of a survey designed for youth to assess perceptions of physical environmental factors (e.g. safety, aesthetics, facilities near the home) and transportation, and (2) to describe the associations of these perceptions with both physical activity and active transport to school.

Methods

Test and retest surveys, administered a median of 12 days later, …

Demographic Change And Response: Social Context And The Practice Of Birth Control In Six Countries, Sangeeta Parashar, Harriet B. Presser, Megan L. Klein Hattori, Sara Raley, Zhihong Sa

Department of Sociology Faculty Scholarship and Creative Works

This paper expands on Kingsley Davis’s demographic thesis of change and re- sponse. Specifically, we consider the social context that accounts for the primacy of particular birth control methods that bring about fertility change during specific time periods. We examine the relevance of state policy (including national family planning programs), the international population establishment, the medical profession, organized religion, and women’s groups using case studies from Japan, Russia, Puerto Rico, China, India, and Cameroon. Some of these countries are undergoing the second demographic transition, others the first. Despite variations in context, heavy reliance on sterilization and/or abortion as a means …

Structure And Fibrillogenicity Of 11-1f4 Epitope Peptide, Demet Ataman

Masters Theses

Conformation-dependent antibodies serve as important tools for understanding the mechanism of aggregation on the pathway of amyloid fibril formation. Furthermore these antibodies may be used for diagnostic and therapeutic purposes because of their fibril-reactive nature. One of the important drawbacks of these antibodies is their potential for cross-reactivity with the soluble precursor proteins in addition to the amyloid fibrils.

11-1F4 is a murine monoclonal antibody generated against the amyloid fibrils of the immunoglobulin light chain Len. This antibody has been shown to recognize amyloid fibrils composed of other light chains regardless of their subgroup (λ or κ). In addition, this …

Voluntary And Involuntary Nursing Home Staff Turnover, Christopher Donoghue, Nicholas G. Castle

Department of Sociology Faculty Scholarship and Creative Works

The goal of this study was to identify nursing home characteristics that have differential associations to voluntary and involuntary turnover among formal caregivers (i.e., registered nurses, licensed practical nurses, and nurse aides). Primary data from 354 facilities from four states were merged with data from the 2004 Online Survey, Certification and Recording system. Multinomial logistic regression analyses were conducted to determine whether organizational characteristics were related to a greater probability of high or low levels of voluntary and involuntary turnover among formal caregivers. The analysis revealed that a higher ratio of nurses to beds, a smaller number of quality-of-care deficiencies, …